IndividualActive
Shannon Carey
NPI 1154700219 · Physician Assistant · Portland, OR
Provider details
- NPI number
- 1154700219
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- PA179831 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3181 Sw Sam Jackson Park Rd
Gh219
Portland, OR 97239-3011
Phone: (503) 494-3633
Approximate (ZIP-level) locationGet directions
Mailing address
1233 Edgewater St Nw
Salem, OR 97304-4049
Registry dates
- Enumerated
- 2015-05-22
- Last updated
- 2023-11-27
- Certified
- 2020-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.